Evidence map›Paper›PMID 41924907›Full record

Trial reportHaematologica2026

Treatment of

Mendel Goldfinger, Ioannis Mantzaris, Aditi Shastri, Bradley Rockwell, Yogen Saunthararajah, Shanye Yin, David Levitz, Kira Gritsman, Alejandro R Sica, Noah Kornblum and 17 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Haematologica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors.

Mendel GoldfingerDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY. mgoldfin@montefiore.org.
Ioannis MantzarisDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY.
Aditi ShastriDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY.
Bradley RockwellKarmanos Cancer Institute, Detroit, MI.
Yogen SaunthararajahDepartment of Translational Hematology and Oncology Research, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH.
Shanye YinDepartment of Pathology, Albert Einstein College of Medicine, Bronx, NY 10461.
David LevitzDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY.
Kira GritsmanDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY.
Alejandro R SicaDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY.
Noah KornblumDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY.
Lauren C ShapiroDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY.
Ridhi GuptaDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY.
Stephen PeekeDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY.
Nishi ShahWinship Cancer Institute of Emory University, Atlanta, GA.
Kith PradhanDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY.
Anne MunozDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY.
Aradhika DhawanDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY.
Jhannine Alyssa VercelesDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY.
Karen FehnDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY.
Monica ComasDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY.
Lamisha ShahDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY.
Yang ShiDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY.
Brian A JonasDivision of Malignant Hematology/Cellular Therapy and Transplantation, University of California Davis School of Medicine, Sacramento, CA.
Dennis L CooperDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY.
Marina KonoplevaDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY.
Eric J FeldmanDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY.
Amit VermaDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center. Albert Einstein College of Medicine, Bronx, NY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Venetoclax (Ven) in combination with hypomethylating agents (HMA) (azacitidine or decitabine) is the standard of care for elderly or unfit patients with acute myeloid leukemia (AML) and is being explored in high-risk myelodysplastic syndrome (HR-MDS). However, currently approved dosing of HMA/Ven is associated with prolonged cytopenias, without a clear improvement in survival for TP53-mutated myeloid malignancies. In order to reduce hospitalizations during COVID, a once-weekly, metronomic schedule of decitabine (0.2 mg/Kg) and ven (400 mg) was developed for patients with MDS and AML. Based on the encouraging results, a phase II trial was performed. In the current study, we analyzed response rates and survival for all patients with TP53-mutated disease treated on the metronomic schedule. In total, 40 patients with TP53-mutated MDS and AML (26 in a prospective trial and 14 in the retrospective cohort) were included; 26 had HR-MDS and 14 had AML. The median age was 76.5 years, 70% had complex cytogenetics, and 82% had bi-allelic TP53 mutations. The overall response rate for AML (complete remission [CR] + CR with incomplete blood count recovery) was 70% and 57% (CR + marrow CR) for MDS. With a median follow-up of 12.9 months, the median overall survival for the entire cohort was 11.3 months (11.6 months for AML, 9.9 months for MDS), and median overall survival in the 31 patients with bi-allelic mutated TP53 was 10.4 months. Transfusion independence was achieved in 58%. Neutropenic fever occurred in 15%, there were no therapy-related fatalities, and the 100-day mortality was 7.5%. Results showed that a non-cytotoxic metronomic dosing schedule of decitabine/Ven has a low toxicity profile in TP53-mutated myeloid malignancies.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsLeukemia, Myeloid, AcuteMutationMyelodysplastic SyndromesTumor Suppressor Protein p53AgedAged, 80 and overBridged Bicyclo Compounds, HeterocyclicDecitabineFemaleHumansMaleMiddle AgedSulfonamidesTreatment OutcomeBridged Bicyclo Compounds, HeterocyclicDecitabineSulfonamidesTP53 protein, humanTumor Suppressor Protein p53venetoclax

Identifiers

PMID41924907
PMCPMC13628079

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.